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@MrJuoha @Nncim15 @LauraLoomer He might like everything you just described LMFAO
@MrJuoha @Nncim15 @LauraLoomer @ChrisPentecos @Nncim15 @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch @villainy_scum @Hevel11
@MrJuoha @Nncim15 @LauraLoomer @ChrisPentecos @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch @villainy_scum @Hevel11 @threadreaderapp unroll
Well if my amazing cops are reading this they can start with you first ๐๐๐
@ChrisPentecos @Nncim15 @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch @villainy_scum @Hevel11
@ChrisPentecos @Nncim15 @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch @villainy_scum @Hevel11 @threadreaderapp unroll
@DrKarlynB Careful you might get @Nncim15 putting something in this drink ๐๐
@DrKarlynB @Nncim15 @ChrisPentecos @Nncim15 @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch @villainy_scum @Hevel11
@DrKarlynB @Nncim15 @ChrisPentecos @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch @villainy_scum @Hevel11 @threadreaderapp unroll
This is Donald aka @Nncim15 ๐ฎ๐ฎ๐ฎ๐ฎ 
@ChrisPentecos @Nncim15 @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch @villainy_scum @Hevel11 @Grandma_Bear4
@ChrisPentecos @Nncim15 @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch @villainy_scum @Hevel11 @Grandma_Bear4 @threadreaderapp unroll
@MrJuoha @Nncim15 @LauraLoomer Who cares no one listens to Donald the vulnerable WEEEEEETARD
@MrJuoha @Nncim15 @LauraLoomer @ChrisPentecos @Nncim15 @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch @villainy_scum @Hevel11
@MrJuoha @Nncim15 @LauraLoomer @ChrisPentecos @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch @villainy_scum @Hevel11 @threadreaderapp unroll
The role of Gastroscopy and Colonoscopy in DGBI.
#DGBI
#IBS
#GP
#Constipation
I see many pts with DGBI aka Functional gut disorders aka IBS subjected to repeated scopes that are normal or have mild non clinically significant findings.
And this bothers me.
Why?
#DGBI
#IBS
#GP
#Constipation
I see many pts with DGBI aka Functional gut disorders aka IBS subjected to repeated scopes that are normal or have mild non clinically significant findings.
And this bothers me.
Why?
DGBI used to be framed as a diagnosis of exclusion. Ie you do all the basic bloods, faecal tests and a gas colon and if they are normal and the symptoms fit the diagnosis is DGBI
We are now moving toward diagnosis based on symptoms with scopes only for alarm symptoms.
We are now moving toward diagnosis based on symptoms with scopes only for alarm symptoms.
So why do pts get repeat scopes. Especially when the they keep coming back as normal.
1- worry about misdiagnosis
No one wants to be that dr that tells a young woman it is all in her head. Only to have her diagnosed with metastatic bowel cancer a few years later.
1- worry about misdiagnosis
No one wants to be that dr that tells a young woman it is all in her head. Only to have her diagnosed with metastatic bowel cancer a few years later.
Lmfao @Hevel11 ๐คฃ๐คฃ๐คฃ
@ChrisPentecos @Nncim15 @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch @villainy_scum @Hevel11
@ChrisPentecos @Nncim15 @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch @villainy_scum @Hevel11 @threadreaderapp unroll
Yes I am extremely high HIGH ON LIFE ๐๐๐ @villainy_scum
@ChrisPentecos @Nncim15 @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch @villainy_scum
@ChrisPentecos @Nncim15 @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch @villainy_scum @threadreaderapp unroll
@SurreyRCMP @surreyps @LangleyRCMP
@ChrisPentecos @Nncim15 @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch
@ChrisPentecos @Nncim15 @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch
@SurreyRCMP @surreyps @LangleyRCMP @ChrisPentecos @Nncim15 @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch @threadreaderapp unroll
Can Alaska remove "Decoy" Daniel J. Sullivan off the ballot in Alaska? 14 States filed an amicus brief at the Alaska Supreme Court arguing it can. States across the country have removed deceptive candidates. This is not new and the district court erred in overturning the decision
I was proud to help @AGIowa in standing up for Alaska voters--and principles that effect voters across the country. After all, there is no innocent explanation of a man named Daniel J. Sullivan, Jr. asking to be put on the ballot as Dan S. Sullivan--the incumbent's name
@AGIowa District decision issued yesterday. Amicus filed today. Read the brief here: appellate-records.courts.alaska.gov/CMSPublic/Userโฆ
If anyone is bored please text me or email me I prefer male cops but I'll accept messages from everyone. You can also find me on FB just search for Willemijn Perk โฅ๏ธโฅ๏ธ๐ฅฐ๐โฅ๏ธโฅ๏ธ
Email Me: willemijn310@gmail.com ๐ฅฐ๐๐
Text Me (672)-673-4381 OR (236)-512-3813 ๐๐๐
Email Me: willemijn310@gmail.com ๐ฅฐ๐๐
Text Me (672)-673-4381 OR (236)-512-3813 ๐๐๐
@SurreyRCMP @surreyps @LangleyRCMP
@ChrisPentecos @Nncim15 @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch
@ChrisPentecos @Nncim15 @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch
@SurreyRCMP @surreyps @LangleyRCMP @ChrisPentecos @Nncim15 @LangleyResident @BarbaraDoduk @RegretlessBee @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux23 @VernThurston @JonYaniv @BCPublicWatch @threadreaderapp unroll
๏ธโ โ
Gardening Plot: Puffapod
June 28th, 2026
๏ธโ โ
Gardening Plot: Puffapod
June 28th, 2026
๏ธโ โ
Pagi itu, Keisha meninggalkan apartmentnya lebih awal dari biasanya sambil membawa sebuah big pot kosong di kedua tangannya. Langkahnya memang sedikit lebih lambat karena ukuran pot yang cukup besar, tetapi hal itu sama sekali tidak mengurangi semangatnya.
Hari ini ia berniat memberikan perawatan menyeluruh pada Puffapod miliknya yang telah mencapai 68% progress. Melihat perkembangannya yang semakin pesat, Keisha merasa tanaman itu sudah membutuhkan ruang yang lebih luas agar akar-akarnya dapat berkembang dengan leluasa.
